2021年11月10日星期三

Traditional Chinese medicine has significant advantages in the treatment of hemorrhoids

Traditional Chinese medicine often adopts a combination of internal and external treatment for hemorrhoids. Once the symptoms are not well improved after the above internal and external treatment, the surgical treatment will be raised to the corresponding height and become necessary for treatment.

The surgical treatment of hemorrhoids includes: rubber band ligation, hemorrhoidectomy, stapler resection, transanal hemorrhoid artery ligation and so on. Among them, there are many surgical methods with traditional Chinese medicine characteristics, such as external stripping and internal ligation, external resection and internal sleeve, traditional Chinese medicine injection, etc.

Some patients will ask whether there is minimally invasive surgery for hemorrhoids? We often talk about minimally invasive surgery, such as rubber band ligation of hemorrhoids. The operation methods using stapler include PPH (stapler hemorrhoidectomy), TST (selective stapler hemorrhoidectomy), etc. For patients, there is no best surgical method, only the most suitable operation. There is no need to blindly pursue the so-called minimally invasive surgery, but should be based on different individuals, clinicians' individualized accurate selection, and selecting the most suitable surgical method is the most beneficial.

Generally speaking, surgical treatment can be considered for patients with ⅰ ~ ⅲ hemorrhoids who have not achieved acceptable results by conservative treatment or patients with ⅳ hemorrhoids who are willing to accept surgical treatment. Hemorrhoidectomy is suitable for patients with grade ⅲ ~ ⅳ internal hemorrhoids, external hemorrhoids or mixed hemorrhoids with prolapse; Stapler hemorrhoidectomy and fixation is suitable for circular prolapsed ⅲ ~ ⅳ degree internal hemorrhoids and recurrent bleeding ⅱ degree internal hemorrhoids; Transanal hemorrhoid artery ligation is suitable for patients with ⅱ ~ ⅲ degree internal hemorrhoids.

Postoperative complications are also worthy of attention. Hemorrhoids are likely to suffer from postoperative complications such as urinary retention, bleeding, infection, pain, edema, constipation, slow wound healing, fever, anorectal stenosis, anal incontinence, etc. * according to the patient's basic physical condition and severity of hemorrhoids, and the corresponding complications include acupuncture, acupoint massage, acupoint injection, hot compress, etc. Traditional Chinese medicine fumigation and washing, microwave physiotherapy, photon irradiation, anal lifting exercise, medicine plugging, moxibustion, lavender oil gauze and other symptomatic treatments. Although any surgical method for hemorrhoids will produce more or less postoperative discomfort and complications, especially postoperative pain and defecation difficulties, which often cause people's concerns about the operation. With the application of modern analgesic technology and the continuous improvement of hemorrhoid surgery, the postoperative comfort has been greatly improved. Many people are afraid to operate for a long time, resulting in serious anemia, And physical weakness, which is not worth the loss.

In view of the causes of postoperative recurrence of hemorrhoids, in terms of prevention and countermeasures, we should develop good eating and defecation habits, prevent constipation, strengthen physical exercise, and treat diseases causing increased abdominal pressure, such as chronic cough and benign prostatic hyperplasia, so as to avoid the factors causing recurrence of hemorrhoids as far as possible.

Precautions for people with hemorrhoids and post-operative hemorrhoids rehabilitation are as follows:

Eat a reasonable diet, eat more vegetables and fruits, drink more water to prevent constipation; Defecate regularly and keep the stool unobstructed. Defecate at one time as much as possible. Take a conventional sitting bath after defecation to keep the anus clean; Proper aerobic exercise and more anal lifting exercise; Choose loose and comfortable underwear.

Yi Jin (deputy chief physician of anorectal Department of Longhua Hospital Affiliated to Shanghai University of traditional Chinese Medicine)

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